Dr. Marvin J Base, M.D.
Internal Medicine in Rego Park, NY. Individual provider (NPI-1).
NPI number1366401853
StatusActive
Last updated in NPPESDec 11, 2024
Details
- NPI
- 1366401853
- Entity type
- Individual (NPI-1)
- Name
- Dr. Marvin J Base
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 22, 2006
- Certification date
- Dec 11, 2024
- Last updated
- Dec 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 187770 | NY | Yes |
Practice location
9308 Queens Blvd # 1b1cRego Park, NY 11374-1135
Phone 718-806-1434 · Fax 718-806-1435
Mailing address
9308 Queens Blvd # 1b1cRego Park, NY 11374-1135
Phone 718-806-1434 · Fax 718-806-1435
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